JONATHAN LYLE ANDERSEN

MODESTO, CA
NPI1346326550
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  33070)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
-- JONATHAN LYLE ANDERSEN PT
3500 COFFEE RD SUITE 3
MODESTO, CA 95355-1344
Phone number: 209-342-2300
Mailing Address
-- JONATHAN LYLE ANDERSEN PT
4301 N STAR WAY
MODESTO, CA 95356-9262
Phone number: 209-342-2300
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